CHAPTER II.

PHYSIOLOGICAL ANATOMY.

THE BONES.

All living bodies are made up of tissues. There is no part, no organ,

however soft and yielding, or hard and resisting, which has not this

peculiarity of structure. The _bones_ of animals, as well as their flesh

and fat, are composed of tissues, and all alike made up of cells. When

viewed under a microscope, each cell is seen to consist of three

distinct parts, a _nucleolus_, or dark spot, in the center of the cell,

around which lies a mass of granules, called the _nucleus;_ and this, in

turn, is surrounded with a delicate, transparent membrane, termed the

_envelope_. Each of the granules composing the nucleus assimilates

nourishment, thereby growing into an independent cell, which possesses a

triple organization similar to that of its parent, and in like manner

reproduces other cells.

[Illustration: Fig. 4.

Nucleated cell.

From Goeber.

1. Periphery of the

cell, or cell-wall.

2. Nucleus. 3. Nucleolus

in the center.]

A variety of tissues enters into the composition of an animal structure,

yet their differences are not always distinctly marked, since the

characteristics of some are not unlike those of others. We shall notice,

however, only the more important of the tissues.

The _Areolar_, or _Connective Tissue_, is a complete network of delicate

fibers, spread over the body, and serves to bind the various organs and

parts together. The fibrous and serous tissues are modifications of the

areolar.

The _Nervous Tissue_ is of two kinds: The gray, which is pulpy and

granulated, and the white fibrous tissue. The _Adipose Tissue_ is an

extremely thin membrane, composed of closed cells which contain fat. It

is found principally just beneath the skin, giving it a smooth, plump

appearance.

[Illustration: Fig. 5.

Arrangement of fibers in the

Areolar Tissue. Magnified 135 diameters.]

The _Cartilaginous Tissue_ consists of nucleated cells, and, with the

exception of bone, is the hardest part of the animal frame. The _Osseous

Tissue_, or bone, is more compact and solid than the cartilaginous, for

it contains a greater quantity of lime. The _Muscular Tissue_ is

composed of bundles of fibers, which are enclosed in a cellular

membrane.

[Illustration: Fig. 6.

Human Adipose Tissue.]

Various opinions have been entertained in regard to the formation, or

growth, of bone. Some anatomists have supposed that all bone is formed

in cartilage. But this is not true, for there is an _intra-membranous_,

as well as an _intra-cartilaginous_, formation of bone, as may be seen

in the development of the cranial bones, where the gradual calcification

takes place upon the inner layers of the fibrous coverings.

Intra-cartilaginous deposit is found in the vicinity of the

blood-vessels, within the cartilaginous canals; also, there are certain

points first observed in the shafts of long bones, called _centers of

ossification_. These points are no sooner formed than the cartilage

corpuscles arrange themselves in concentric zones, and, lying in contact

with one another, become very compact. As ossification proceeds, the

cup-shaped cavities are converted into closed interstices of bone, with

extremely thin lamellæ, or layers. These, however, soon increase in

density, and no blood-vessels can be observed within them.

[Illustration: Fig. 7.

Vertical section of cartilage near the surface of

ossification. _1_. Ordinary appearance of the temporary

cartilage. _1_'. Portion of the same more

highly magnified. _2_. The cells beginning to form

into concentric zones. _2_'. Portion more magnified.

_3_. The ossification is extending in the inter-cellular

spaces, and the rows of cells are seen

resting in the cavities so formed, the nuclei being

more separated than above. _3_'. Portion of the

same more highly magnified.]

[Illustration: Fig. 8.

Thigh-bone,

sawn open

lengthwise.]

[Illustration: Fig. 9.

Lower end of the thigh-bone

sawn across, showing its central

cavity.]

The bony plates form the boundaries of the _Haversian_, or nutritive

canals of the bones. In the _second stage of ossification_, the

cartilage corpuscles are converted into bone. Becoming flattened against

the osseous lamellæ already formed, they crowd upon one another so as to

entirely obliterate the lines that distinguish them; and, simultaneously

with these changes, a calcareous deposit takes place upon their

interior. Bones grow by additions to their ends and surfaces. In the

child, their extremities are separated from the body of the bone by

layer of cartilage, and the cancellated, or cellular structure, which

remains for a time in the interior, represents the early condition of

the ossifying substances.

The bones contain more earthy matter in their composition than any other

part of the human body, being firm, hard, and of a lime color. They

compose the skeleton or frame work, and, when united by natural

ligaments, form what is known as the _natural_ skeleton; when they are

wired together, they are called an _artificial_ skeleton. The number of

bones in the human body is variously estimated; for those regarded as

single by some anatomists are considered by others to consist of several

distinct pieces. There are two hundred distinct bones in the human

skeleton besides the teeth. These may be divided into those of the Head,

Trunk, Upper Extremities, and Lower Extremities.

[Illustration: Fig. 10.

The bones of the skull separated. _1_. Frontal,

only half is seen. _2_. Parietal. _3_. Occipital, only

half is seen. _4_. Temporal. _5_. Nasal. _6_. Malar.

_7_. Superior maxillary (upper jaw). _8_. Lachrymal.

_9_. Inferior maxillary (lower jaw). Between

_4_ and _6_ a part of the sphenoid or wedge-shaped

bone, is seen. Another bone assisting to form

the skull, but not here seen, is called the _ethmoid_

(sieve-like, from being full of holes), and is situated

between the sockets of the eyes, forming the

roof of the nose.]

THE BONES OF THE HEAD are classed as follows: eight belonging to the

Cranium, and fourteen to the Face. The bones of the Cranium are the

_occipital_, two _parietal_, two _temporal, frontal, sphenoid_, and

_ethmoid_. Those composing the face are, the two _nasal_, two _superior

maxillary,_ two _lachrymal_, two _malar_ two _palate_, two _inferior

turbinated, vomer_, and _inferior maxillary_. The cranial bones are

composed of two dense plates, between which there is, in most places a

cancellated or cellular tissue. The external plate is fibrous, the

internal, compact and vitreous. The skull is nearly oval in form, convex

externally, the bone being much thicker at the base than elsewhere, and

it is, in every respect admirably adapted to resist any injury to which

it may be exposed, thus affording ample protection to the brain

substance which it envelops. The internal surface of the cranium

presents eminences and depressions for lodging the convolutions of the

brain, and numerous furrows for the ramifications of the blood-vessels.

The bones of the cranium are united to one another by ragged edges

called _sutures_, which are quite distinct in the child but which in old

age are nearly effaced. Some authorities suppose that by this

arrangement the cranium is less liable to be fractured by blows; others

think that the sutures allow the growth of these bones, which takes

place by a gradual osseous enlargement at the margins. The bones of the

_Face_ are joined at the lower part and in front of the cranium, and

serve for the attachment of powerful muscles which assist in the process

of mastication. Although the soft parts of the face cover the bony

structure, yet they do not conceal its principal features, or materially

change its proportions. The form of the head and face presents some

remarkable dissimilarities in different races.

[Illustration: Fig. 11.

_1_. The first bone of the sternum (breast-bone).

_2_. The second bone of the sternum.

_3_. The cartilage of the sternum. _4_. The

first dorsal vertebra (a bone of the spinal

column). _5_. The last dorsal vertebra. _6_.

The first rib. _7_. Its head. _8_. Its neck. _9_.

Its tubercle. _10_. The seventh or last true

rib. _11_. The cartilage of the third rib. _12._

The floating ribs.]

[Illustration: Fig. 12.

A vertebra of the neck. _1_. The

body of the vertebra. _2_. The spinal

canal. _4_. The spinous process

cleft at its extremity. _5_. The

transverse process. _7_. The interior

articular process. _8_. The

superior articular process.]

THE TRUNK has fifty-four bones, which are as follows: The _Os Hyoides_,

the _Sternum_, twenty-four Ribs, twenty-four _vertebræ_ or bones of the

Spinal Column, the _Sacrum_, the _Coccyx_, and two _Ossa Innominata_.

The _Os Hyoides_, situated at the base of the tongue, is the most

isolated bone of the skeleton, and serves for the attachment of muscles.

The _Sternum_, or breast-bone, in a child is composed of six pieces, in

the adult of three, which in old age are consolidated into one bone. The

_Ribs_ are thin, curved bones, being convex externally. There are twelve

on each side, and all are attached to the spinal column. The seven upper

ribs, which are united in front of the sternum, are termed _true_ ribs;

the next three, which are not attached to the sternum, but to one

another are called _false_ ribs; and the last two, which are joined only

to the vertebræ, are designated as _floating_ ribs. The first rib is the

shortest, and they increase in length as far as the eighth, after which

this order is reversed.

[Illustration: Fig. 13.

_1_. The cartilaginous substance

which connects the bodies of

the vertebræ. _2_. The body of the

vertebra. _3_. The spinous process.

_4,4_. The transverse processes.

_5,5_. The articular processes.

_6,6_. A portion of the bony bridge

which assists in forming the spinal

canal (7).]

[Illustration: Fig. 14.

Backbone, spinal

column, or vertebral

column. All

animals possessing

such a row of bones

are called _vertebrates_.

Above _b_ are

the cervical (neck)

vertebræ; _b_ to _c_,

dorsal (back) or

chest vertebræ; _c_

to _d_, lumbar (loins)

vertebræ; _d_ to _e_, sacrum;

_e_ to _f_, coccyx.]

The _Spinal Column_ or backbone, when viewed from the front presents a

perpendicular appearance, but a side view shows four distinct curves.

The bones composing it are called _vertebræ_. The body part of a

vertebra is light and spongy in texture, having seven projections called

_processes_, four of which are the _articular_ processes, which furnish

surfaces to join the different vertebræ of the spinal column. Two are

called _transverse_, and the remaining one is termed the _spinous_. The

transverse and spinous processes serve for the attachment of the muscles

belonging to the back. All these processes are more compact than the

body of the vertebra, and, when naturally connected, are so arranged as

to form a tube which contains the _medulla spinalis_, or spinal cord.

Between the vertebræ is a highly-elastic, cartilaginous and cushion-like

substance, which freely admits of motion, and allows the spine to bend

as occasion requires. The natural curvatures of the spinal column

diminish the shock produced by falling, running or leaping, which would

otherwise be more directly transmitted to the brain. The ribs at the

sides, the sternum in front, and the twelve dorsal bones of the spinal

column behind, bound the thoracic cavity, which contains the lungs,

heart, and large blood-vessels.

[Illustration: Fig. 15.

A representation of the pelvic bones. _e_. The

lumbo-sacral joint. 2. The sacrum. _3_. Coccyx. _1,1_.

The innominata. _4,4_. Acetabula.]

The _Pelvis_ is an open bony structure, consisting of the Os Innominata,

one on either side, and the Sacrum and Coccyx behind. The _Sacrum_,

during childhood, consists of five bones, which in later years unite to

form one bone. It is light and spongy in texture, and the upper surface

articulates with the lowest vertebra, while it is united at its inferior

margin to the coccyx. The _Coccyx_ is the terminal bone of the spinal

column. In infancy it is cartilaginous and composed of several pieces,

but in the adult these unite and form one bone. The _Innominata_, or

nameless bones, during youth, consist of three separate pieces on each

side; but as age advances they coalesce and form one bone. A deep

socket, called the _acetabulum_, is found near their junction, which

serves for the reception of the head of the thigh-bone.

[Illustration: Fig. 16.

1. Portions of the backbone. 2. Cranial

bones. _4_. Breast-bone. _5_. Ribs. _7_. Collar-bone.

_8_. Arm-bone (humerus). _9_. Shoulder-joint.

_10, 11_. Bones of the fore-arm (ulna and

radius). _12_. Elbow-joint. _13_. Wrist-joint. _14_.

Bones of the hand. _15, 16_. Pelvic bones. _17_.

Hip-joint. _18_. Femur. _19, 20_. Bones of the

knee-joint. _21, 22_. Fibula and tibia. _23_. Ankle

bone. _24_. Bones of the foot.]

THE BONES OF THE UPPER EXTREMITIES are sixty-four in number, and are

classified as follows: The Scapula, Clavicle, Humerus, Ulna, Radius,

Carpus, Metacarpus, and Phalanges. The _Scapula_, or shoulder-blade, is

an irregular, thin, triangular bone, situated at the posterior part of

the shoulder, and attached to the upper and back part of the chest. The

_Clavicle_, or collar-bone, is located at the upper part of the chest,

between the sternum and scapula, and connects with both. Its form

resembles that of the italic letter _f_, and it prevents the arms from

sliding forward. The _Humerus_, the first bone of the arm, is long,

cylindrical, and situated between the scapula and fore-arm. The _Ulna_

is nearly parallel with the radius, and situated on the inner side of

the fore-arm. It is the longer and larger of the two bones, and in its

articulation with the humerus, forms a perfect hinge-joint. The

_Radius_, so called from its resemblance to a spoke, is on the outer

side of the fore-arm, and articulates with the bones of the wrist,

forming a joint. The ulna and radius also articulate with each other at

their extremities. The _Carpus_, or wrist, consists of eight bones,

arranged in two rows. The _Metacarpus_, or palm of the hand, is composed

of five bones situated between the carpus and fingers. The _Phalanges_,

fourteen in number, are the bones of the fingers and thumb, the fingers

each having three and the thumb two.

THE BONES OF THE LOWER EXTREMITIES, sixty in number, are classed as

follows: The Femur, Patella, Tibia, Fibula, Tarsus, Metatarsus, and

Phalanges. The _Femur_, or thigh-bone, is the longest bone in the body.

It has a large round head, which is received into the acetabulum, thus

affording a good illustration of a ball and socket joint. The _Patella,_

or knee-pan, is the most complicated articulation of the body. It is of

a round form, connects with the tibia by means of a strong ligament, and

serves to protect the front of the joint, and to increase the leverage

of the muscles attached to it, by causing them to act at a greater

angle. The _Tibia_, or shin bone, is enlarged at each extremity and

articulates with the femur above and the astragalus, the upper bone of

the tarsus, below. The _Fibula_, the small bone of the leg, is situated

on the outer side of the tibia, and is firmly bound to it at each

extremity. The _Tarsus_, or instep, is composed of seven bones, and

corresponds to the carpus of the upper extremities. The _Metatarsus_,

the middle of the foot, bears a dose resemblance to the metacarpus, and

consists of five bones situated between the tarsus and the phalanges.

The tarsal and the metatarsal bones are so united as to give an arched

appearance to the foot, thus imparting elasticity. The _Phalanges_, the

toes, consist of fourteen bones, arranged in a manner similar to that of

the fingers.

We are not less interested in tracing the formation of bone through its

several stages, than in considering other parts of the human system. The

formation of the Haversian canals for the passage of blood-vessels to

nourish the bones, the earlier construction of bony tissue by a

metamorphosis of cartilaginous substance, and also the commencement of

ossification at distinct points, called _centers of ossification_, are

all important subjects, requiring the student's careful attention. The

bones are protected by an external membranous envelope, which, from its

situation is called the _periosteum_. The bones are divided into four

classes, _long, short, flat_ and _irregular_, being thus adapted to

subserve a variety of purposes.

The Long Bones are found in the limbs, where they act as levers to

sustain the body and aid in locomotion. Each_long_ bone is composed of a

cylinder, known as the _shaft_, and two _extremities_. The shaft is

hollow, its wails being _thickest_ in THE middle and growing thinner

toward the extremities. The _extremities_ are usually considerably

enlarged, for convenience of connection with other bones, and to afford

a broad surface for the attachment of muscles. The clavical, humerus,

radius, ulna, femur, tibia, fibula, the bones of the metacarpus,

metatarsus and the phalanges, are classed as long bones.

Where the principal object to be attained is strength, and the motion of

the skeleton is limited, the individual bones are short and compressed,

as the bones of the carpus and tarsus. The structure of these bones is

spongy, except at the surface, where there is a thin crust of compact

matter.

[Illustration: Fig. 17.

Anatomy of a joint, _1, 1_.

Bones of a joint. _2, 2_. Cartilage.

_3, 3, 3, 3_. Synovial

membrane.]

[Illustration: Fig. 18.

Anatomy of knee joint.

_1._ Lower end of thigh-bone.

_3._ Knee-pan. _2, 4_ Ligaments

of the knee-pan. _5_. Upper

end of the tibia, or shin-bone.

_6, 12_. Cartilages.]

When protection is required for the organs of the body, or a broad flat

surface for the attachment of the muscles, the bones are expanded into

plates, as in the cranium and shoulder-blades.

The _irregular_ or _mixed_ bones are those which, from their peculiar

shape, cannot be classed among any of the foregoing divisions. Their

structure is similar to the others, consisting of cancellar tissue,

surrounded by a crust of compact matter.

The vertebræ, sacrum, coccyx, temporal, sphenoid, ethmoid, malar, two

maxillary, palate, inferior turbinated, and hyoid are known as irregular

bones.

The formation of the joints requires not only bones, but also

cartilages, ligaments, and the synovial membrane, to complete the

articulation. _Cartilage_ is a smooth, elastic substance, softer than

bone, and invested with a thin membrane, called _perichondrium_. When

cartilage is placed upon convex surfaces, the reverse is true. The

_Ligaments_ are white, inelastic, tendinous substances, softer than

cartilage, but harder than membrane. Their function is to bind together

the bones. The _Synovial Membrane_ covers the cartilages, and is then

reflected upon the ligaments, thus forming a thin, closed sac, called

the _synovial capsule._

All the synovial membranes secrete a lubricating fluid, termed

_synovia_, which enables the surfaces of the bones and ligaments to move

freely upon one another. When this fluid is secreted in excessive

quantities, it produces a disease known as "dropsy of the joints." There

are numerous smaller sacs besides the synovial, called _bursæ mucosæ_,

which in structure are analogous to them, and secrete a similar fluid.

Some joints permit motion in every direction, as the shoulders, some in

two directions only, as the elbows, while others do not admit of any

movement. The bones, ligaments, cartilages, and synovial membrane, are

supplied with nerves, arteries, and veins.

When an animal is provided with an internal bony structure, it indicates

a high rank in the scale of organization. An elaborate texture of bone

is found in no class below the vertebrates. Even in the lower order of

this sub-kingdom, which is the highest of animals, bone does not exist,

as is the case in some tribes of fishes, such as sharks, etc., and in

all classes below that of the cartilaginous fishes, the inflexible

substance which sustains the soft parts is either shell or some

modification of bone, and is usually found on the outside of the body.

True bone, on the contrary, is found in the interior, and, therefore, in

higher animals, the skeleton is always internal, while the soft parts

are placed external to the bony frame. While many animals of the lowest

species, being composed of soft gelatinous matter, are buoyant in water,

the highest type of animals requires not only a bony skeleton, but also

a flexible, muscular system, for locomotion in the water or upon the

land. Each species of the animal kingdom is thus organically adapted to

its condition and sphere of life.

* * * * *

The People's Common Sense Medical Adviser in Plain English or, Medicine Simplified, 54th ed., One Million, Six Hundred and Fifty Thousand · 第 2 / 34 章